Provider Demographics
NPI:1083921241
Name:ELEVEN KEY CORPORATION
Entity Type:Organization
Organization Name:ELEVEN KEY CORPORATION
Other - Org Name:PARK SLOPE COMMUNICATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MERYL
Authorized Official - Last Name:REISLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:718-768-3526
Mailing Address - Street 1:258 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2103
Mailing Address - Country:US
Mailing Address - Phone:718-768-3526
Mailing Address - Fax:718-499-7088
Practice Address - Street 1:258 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2103
Practice Address - Country:US
Practice Address - Phone:718-768-3526
Practice Address - Fax:718-499-7088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech